The pharyngeal critical pressure: The whys and hows of using nasal continuous positive airway pressure diagnostically

Chest

Volumn 110, Issue 4, 1996, Pages 1077-1088

  Gold, Avram R ^a,c   Schwartz, Alan R ^b  

^a STONY BROOK UNIVERSITY   (United States)

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AIRFLOW; AIRWAY PRESSURE; ARTICLE; DIAGNOSTIC VALUE; HUMAN; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; SLEEP APNEA SYNDROME;

EID: 0029912071     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.110.4.1077     Document Type: Article

References (48)

1. Young T, Palta M, Dempsey J, et al. Occurrence of sleep disordered breathing among middle-aged adults. N Engl J Med 1993; 328:1230-35
2. Guilleminault C, Stoohs R, Partinen M, et al. Mortality and morbidity of obstructive sleep apnea syndrome: prospective studies on retrospective cohorts. In: Saunders NA, Sullivan CE, eds. Sleep and breathing. 2nd ed. New York: Marcel Dekker, 1994; 557-74
3. Haponik EF, Smith PL, Bohlman ME, et al. Computerized tomography in obstructive sleep apnea: correlation of airway size with physiology during sleep and wakefulness. Am Rev Respir Dis 1983; 127:221-26
4. Bradley TD, Brown IG, Grossman RF, et al. Pharyngeal size of snorers, non-snorers, and patients with obstructive sleep apnea. N Engl J Med 1986; 315:1327-31
5. Schwab RJ, Gefter WB, Hoffman EA, et al. Dynamic upper airway imaging during awake respiration in normal subjects and patients with sleep disordered breathing. Am Rev Respir Dis 1993; 148:1385-1400
6. Shelton KE, Woodson H, Gay S, et al. Pharyngeal fat in obstructive sleep apnea. Am Rev Respir Dis 1993; 148:462-66
7. Remmers JE, deGroot WJ, Sauerland EK, et al. Padiogenesis of upper airway occlusion during sleep. J Appl Physiol 1978; 44: 931-38
8. Anch AM, Remmers JE, Sauerland EK, et al. Oropharyngeal patency during waking and sleep in the pickwickian syndrome: electromyographic activity of the tensor veli palatini. Electromyogr Clin Neurophysiol 1981; 21:317-30
9. Jeffries B, Brouillette RT, Hunt CE. Electromyographic study of some accessory muscles of respiration in children with obstructive sleep apnea. Am Rev Respir Dis 1984; 129:696-702
10. Suratt PM, McTier R, Wilhoit SC. Alae nasi electromyographic activity and timing in obstructive sleep apnea. J Appl Physiol 1985; 58:1252-56
11. Sullivan CE, Issa FG, Berthon-Jones M, et al. Reversal of obstructive sleep apnoea by continuous positive pressure applied through the nares. Lancet 1981; 1:862-65
12. Sullivan CE, Issa FG, Berthon-Jones M, et al. Home treatment of obstructive sleep apnoea with continuous positive pressure applied through a nose-mask. Bull Eur Physiopathol Respir 1984; 20:49-54
13. Rolfe I, Olson LG, Saunders NA. Long-term acceptance of continuous positive airway pressure in obstructive sleep apnea. Am Rev Respir Dis 1991; 144:1130-33
14. Kribbs NB, Pack AI, Kline LR, et al. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 1993; 147:887-95
15. Reeves-Hoche MK, Meck R, Zwillich CW. Nasal CPAP: an objective evaluation of patient compliance. Am J Respir Grit Care Med 1994; 149:149-54
16. Harman EM, Wynne JW, Block AJ. The effect of weight loss on sleep disordered breathing and oxygen desaturation in morbidly obese men. Chest 1982; 82:291-94
17. Smith PL, Gold AR, Meyers DA, et al. Weight loss in moderately obese patients with obstructive sleep apnea. Ann Intern Med 1985; 103:850-55
18. Suratt PM, McTier ME, Findley LJ, et al. Changes in breathing and the pharynx after weight loss in obstructive sleep apnea. Chest 1987; 92:631-37
19. Brownell LG, West P, Sweathman P, et al. Protriptylene in obstructive sleep apnea: a double blind trial. N Engl J Med 1982; 307:1037-42
20. Smith PL, Haponik EF, Allen RP, et al. The effects of protriptylene in sleep disordered breathing. Am Rev Resp Dis 1983; 127:8-13
21. Fujita S, Conway W, Zorick F, et al. Surgical correction of upper airway abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981; 89: 923-34
22. Simmons FB, Guilleminault C, Silvestri R. Snoring and some obstructive sleep apnea can be cured by oropharyngeal surgery. Arch Otolaryngol 1983; 109:503-07
23. Katsantonis G. Uvulpalatopharyngoplasty for obstructive sleep apnea and snoring. Op Tech Otolaryngol Head Neck Surg 1991; 2:100-03
24. Cartwright R, Samelson C. The effects of a nonsurgical treatment for obstructive sleep apnea: the tongue retaining device. JAMA 1982; 248:705-09
25. Cartwright R. Predicting response to the tongue retaining device for sleep apnea syndrome. Arch Otolaryngol 1985; 111:385-88
26. Clark GT, Arand D, Chung E, et al. Effect of anterior mandibular positioning on obstructive sleep apnea. Am Rev Respir Dis 1993; 147:624-29
27. Eveloff SE, Rosenberg CL, Carlisle CC, et al. Efficacy of a Herbst mandibular advancement device in obstructive sleep apnea. Am J Respir Grit Care Med 1994; 149:905-09
28. Riley R, Powell N, Guilleminault C. Maxillofacial surgery and obstructive sleep apnea: a review of 80 patients. Otolaryngol Head Neck Surg 1989; 101:353-61
29. Miki H, Hida W, Chonan T, et al. Effects of submental electrical stimulation during sleep on upper airway patency in patients with obstructive sleep apnea. Am Rev Respir Dis 1989; 140: 1285-89
30. Podszus T, Peter JH, Hochban W, et al. Electrical hypoglossal nerve stimulation in obstructive sleep apnea [abstract]. Am Rev Respir Dis 1995; 151:A538
31. Holt JP. The collapse factor in the measurement of venous pressure: the flow of fluid through collapsible tubes. Am J Physiol 1941; 134:292-99
32. Pride NB, Permutt S, Riley RL, et al. Determinants of maximal expiratory flow from the lungs. J Appl Physiol 1967; 23:646-62
33. Mead J, Turner JM, Macklem PT, et al. Significance of the relationship between lung recoil and maximum expiratory flow. J Appl Physiol 1967; 22:95-108
34. Bridger GP, Proctor DF. Maximum nasal inspiratory flow and nasal resistance. Ann Otol Rhinol Laryngol 1970; 79:481-86
35. West JB, Dollery CT, Naimark A. Distribution of blood flow in isolated lung; relation to vascular and alveolar pressures. J Appl Physiol 1964; 19:713-24
36. Downey JM, Kirk ES. Inhibition of coronary blood flow by a vascular waterfall mechanism. Circ Res 1975; 36:753-60
37. Green JF. Fundamental cardiovascular and pulmonary physiology: and integrated approach for medicine. Philadelphia: Lea & Febiger, 1982; 9-16
38. Cistulli PA, Sullivan CE. Pathophsiology of sleep apnea. In: Saunders NA, Sullivan CE, eds. Sleep and breathing. 2nd ed. New York: Marcel Dekker, 1994; 407
39. Smith PL, Wise RA, Gold AR, et al. Upper airway pressure-flow relationships in obstructive sleep apnea. J Appl Physiol 1988; 64:789-95
40. Schwartz AR, Smith PL, Wise RA, et al. Induction of upper airway occlusion in sleeping individuals with subatmospheric nasal pressure. J Appl Physiol 1988; 64:515-42
41. Gould GA, Whyte KF, Rhind GB, et al. The sleep hypopnea syndrome. Am Rev Respir Dis 1988; 137:895-98
42. Gleadhill IC, Schwartz AR, Wise RA, et al. Upper airway collapsibility in snorers and in patients with obstructive sleep apnea. Am Rev Respir Dis 1991; 143:1300-03
43. Guilleminault C, Stoohs R, Clerk A, et al. From obstructive sleep apnea syndrome to upper airway resistance syndrome: consistency of daytime sleepiness. Sleep 1992; 15:S13-16
44. Miljeteig H, Hoffstein V. Determinants of continuous positive airway pressure level for treatment of obstructive sleep apnea. Am Rev Respir Dis 1993; 147:1526-30
45. Kryger MH. Management of obstructive sleep apnea: an overview. In: Kryger MH, Roth T, Dement WC, eds. Principles and practice of sleep medicine. Philadelphia: WB Sannders, 1994; 741
46. Schwartz AR, Schubert N, Rothman W, et al. Effect of uvulopalatophamigoplasty on upper airway collapsibility in obstructive sleep apnea. Am Rev Respir Dis 1992; 145:527-32
47. Schwartz AR, Gold AR, Schubert N, et al. Effect of weight loss on upper airway collapsibility in obstructive sleep apnea. Am Rev Respir Dis 1991; 144:494-98
48. Meurice JC, Marc I, Carrier G, et al. Effects of month opening on upper airway collapsibility in normal sleeping subjects. Am J Respir Crit Care Med 1996; 153:255-59